GULF COAST MEDICAL CENTER PRIMARY CARE LLC
NPI 1285679050
Obstetrics & Gynecology in Panama City, FL
About Gulf Coast Medical Center Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GULF COAST MEDICAL CENTER PRIMARY CARE LLC (NPI 1285679050) is a healthcare organization registered as an obstetrics & gynecology in Panama City, Florida and active in the NPI registry since June 2006. The organization lists Mickey Pickler, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gulf Coast Medical Center Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Gulf Coast Medical Center Primary Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Panama City, FL 32405
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gulf Coast Medical Center Primary Care LLC's NPI number?
The NPI number for Gulf Coast Medical Center Primary Care LLC is 1285679050. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is Gulf Coast Medical Center Primary Care LLC located?
Gulf Coast Medical Center Primary Care LLC is located at 2202 State Ave Ste. 207, Panama City, FL 32405. The listed phone number is (850) 784-2645.
What is Gulf Coast Medical Center Primary Care LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Gulf Coast Medical Center Primary Care LLC enrolled in Medicare?
Yes. Gulf Coast Medical Center Primary Care LLC is registered in the Medicare PECOS enrollment system.
When is Gulf Coast Medical Center Primary Care LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gulf Coast Medical Center Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Gulf Coast Medical Center Primary Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gulf Coast Medical Center Primary Care LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Gulf Coast Medical Center Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gulf Coast Medical Center Primary Care LLC was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gulf Coast Medical Center Primary Care Llc · NPI 1285679050
Obstetrics & Gynecology organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1285679050 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Mickey Pickler, VP
## Practice location
- **Address:** 2202 STATE AVE, STE. 207, Panama City, FL 32405-7601
- **Phone:** (850) 784-2645 · **Fax:** (850) 784-2646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2011
- **Other identifiers:** Medicare PIN K9625 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1285679050) · Data from the CMS NPPES public registry.